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Am J Ophthalmol. 2005 Jul;140(1):149-51.

Macular hole in cat scratch disease.

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1
Baylor College of Medicine, Department of Ophthalmology, Houston, TX 77030, USA.

Abstract

PURPOSE:

To report the development of a macular hole as a complication of cat scratch disease.

DESIGN:

Case report.

METHODS:

A 10-year-old girl was seen with unilateral neuroretinitis from serologically confirmed cat scratch disease. Twelve days later, she developed a macular hole in the involved eye. Fundus photography and optical coherence tomography (OCT) were obtained at presentation and after the development of a macular hole.

RESULTS:

Fundus photography and OCT on presentation revealed a nasal neurosensory detachment and multiple inflammatory foci throughout the macula, including a subfoveal lesion. Fundus photography and OCT 12 days later revealed the development of a partial posterior vitreous detachment and a full thickness macular hole.

CONCLUSIONS:

Macular hole should be included among posterior segment complications of cat scratch disease. In this case, the macular hole was associated with partial vitreous detachment and a preexisting subfoveal lesion, likely representing an inflammatory focus.

PMID:
16038666
DOI:
10.1016/j.ajo.2004.12.082
[Indexed for MEDLINE]
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